손톱 변형을 동반한 조갑하 골격외 연골종

안기백,류인혁,김경철,김선주 대한수부외과학회 2017 대한수부외과학회지 Vol.22 No.2

Extraskeletal chondromas are benign soft tissue tumor of hyaline cartilage. These tumors are rare and the pathogenesis is unclear. They are usually involves the hand or feet. We report the case of extraskeletal chondroma arising from subungual region of the finger with nail deformity and review of the literature. 골격외 연골종은 초자연골로 이루어진 양성 연부조직 종양이다. 매우 드물게 발병하고 그 발병 기전이 아직까지 명확하게 밝혀지지 않았다. 주로 수부나 족부에서 호발하는 것으로 보고된다. 조갑하 골격외 연골종의 경우 보고된 바가 적다. 저자들은 수지의 손톱 변형을 동반한 조갑하 골격외 연골종을 경험하여 문헌 고찰과 함께 증례를 보고하고자 한다.

만성 주상월상골간인대 불안정성에서 다양한 인대 재건술의 치료 결과 분석

안기백,류인혁,김경철,김형진,이지호,문성철 대한수부외과학회 2016 대한수부외과학회지 Vol.21 No.2

Purpose: To investigate mid-term clinical outcomes of various methods of scapholunate reconstruction for chronic scapholunate instability. Methods: We retrospectively reviewed 11 patients diagnosed as chronic scapholunate instability, from 2005 to 2013 and followed up for more than one year after surgery. 7 patients were treated with Garcia technique of triple ligament reconstruction, 2, bone-ligamemt-bone repair, and 2, dorsal capsulodesis. Mean age was 42 years (range, 23–61 years). The right side was involved in 6 patients, and the left in 5. The follow-up period averaged 42 months (range, 13–125 months). The postoperative functional outcomes were assessed with Modified Mayo wrist score (MMWS), disability of the arm, shoulder and hand (DASH) score and range of motion. The postoperative radiologic results were analyzed with the change of scapholunate angle and distance. Results: The mean MMWS score improved from 65 preoperatively to 77 postoperatively (p=0.072). The mean DASH score improved from 29.4 (range, 18.3–43.3) preoperatively to 12.7 (range, 0–38.3) postoperatively (p=0.003). The dorsiflexion increased from 67° to 78°, the volar flexion decreased from 51° to 45°, the supination increased from 69° to 88°, and the pronation increased from 62° to 66°. The SL angle changed from 55° preoperatively to 51° postoperatively, the mean SL distance changed from 3.4 mm preoperatively to 1.7 mm postoperatively. Conclusion: The chronic scapholunate instability is amenable to various techniques and postoperative functional outcomes improved satisfactory. 목적: 만성 주상월상골간인대의 불안정성에서 다양한 방법으로 시행된 인대 재건술의 치료 결과를 분석하였다. 방법: 2004년 5월부터 2013년 7월까지 만성 주상월상골간인대 불안정성으로 진단된 15예 중 1년 이상 추시가 가능했던 11예를 대상으로 하였다. Triple ligament reconstruction 술기가 7예, 수근배부 인대를 이용한 재건술이 2예, 골지대를 이용한 재건술이 2예 시행되었다. 평균 나이는 42세(범위, 23-61세), 남자가 8명, 여자가 3명이었으며 우측이 6예, 좌측이 5예였다. 평균 추시는 42개월(범위, 13-125개월)이었다. 수술 후 기능적 평가는 modified Mayo wrist score (MMWS), disability of the arm, shoulder and hand (DASH) 그리고 관절운동범위를 이용하였다. 수술 후 방사선학적 결과는 주상 월상 각도와 간격을 측정하였다. 결과: MMWS는 수술 전 65에서 77로, DASH는 29.4에서 12.7로 호전되었다. 운동 범위는 신전/굴곡/회외전/회내전이 수술 전 67°/51°/69°/62°에서 수술 후 78°/45°/88°/66°로 신전과 회외전은 증가하였다. 주상 월상 각도는 수술 전 평균 55°에서 수술 후 평균 51°로, 주상 월상 간격은 3.4 mm에서 1.7 mm로 측정되었다. 결론: 만성 주상월상골간인대의 불안정성은 다양한 술기로 치료 가능하며 만족할만한 기능의 향상을 가져오는 것으로 생각된다.

위암과 대장암이 병발한 가족성 대장 용종증 1예

함기백,홍성란,방수관,최규식,안용진,백승운,김은주,윤세옥,유승익 大韓消化器病學會 1992 大韓消化器病學會誌 Vol.24 No.1

지상발표 : 위암조직에서 estrogen 과 progesterone 수용체의 측정

함기백,김상우,안용진,백승운,김은주,이금주 대한소화기학회 1991 대한소화기학회 추계학술대회 Vol.1991 No.-

위암 환자에 있어서 말초혈액 단핵구 및 국소 림프절 단핵구의 NK 및 LAK 활성도에 관한 연구

김원호,함기백,안신기,강진경,박인서,최홍재,노성훈,윤정구,김태수 大韓消化器病學會 1991 大韓消化器病學會誌 Vol.23 No.2

식도의 과립세포 종양 1예

김희숙,김은주,백승운,함기백,홍성란,방수관,안용진,윤세옥 대한소화기내시경학회 1992 Clinical Endoscopy Vol.12 No.1

For many years, the histogenesis of the granular cell tumor was controversial and this resulted in the tumor being given more than 20 synonyms. Abrikossoff, reporting on the fiist granular cell tomor, favored a muscle origin, but other authora have postulated a fibroblastic or a histiocytic origin. Recently, the concept of Schwann cell origin, supported by electron microscopic studies and immunohistochemistry of S-100 protein, has gained wider recognition. Approximately 90 cases of esophageal granular cell tumor have been reported in the literature, representing about 2% incidence of all reported granular cell tumor, In Korea, only four cases of granular cell tumors were reported in the literatures including the cases occuring in the cecum, colon, and anus until now. Recently we experienced 46-years old women with granular cell tumor of the esophagus, which might be the second case in Korean literature.

삼각섬유 연골 복합체 척골 기시부 손상에 대한 관혈적 봉합술의 임상 결과

임경섭,류인혁,김경철,이지호,안기백,문성철 대한수부외과학회 2014 대한수부외과학회지 Vol.19 No.4

목적: 삼각섬유 연골 복합체 기시부 손상의 관혈적 봉합술의 임상 결과를 분석하고, 관혈적 봉합술의 유용성을 알아보고자 하였다방법: 삼각섬유연골 복합체 기시부 손상으로 관혈적 봉합술을 시행하였던 8예를 대상으로 하였다. 평균나이는 34세 였으며, 남자는 5명, 여자는 3명이었다. 결과 분석은 modified Mayo wrist score (MMWS)와 disabilities of the arm, shoulder and hand (DASH), 통증-visual analogue scale (VAS)를 사용하였으며, 이학적 검진을 통해 원위 요척관절불안정성 유무를 분석하였다. 결과: 평균 추시 기간은 36.5개월(범위, 12?64개월)이었다. MMWS는 평균 52.5 (범위, 25-85)에서 82.5 (범위, 75- 100)으로 향상되었으며(p=0.02), DASH 점수는 평균 39.6 (범위, 65-13.5)에서 13.4 (범위, 2.5-33.3)으로 향상되었다(p=0.012). 동통은 통증-VAS 4.6 (범위, 6-3)에서 2 (범위, 0-3)로 감소하였다(p=0.016). 4예에서 수술 전 원위 요척관절 불안정성이 관찰되었으며, 수술 후 불안정성이 남아있는 경우는 없었다. 결론: 삼각섬유연골 복합체 기시부 손상에 대한 관혈적 봉합술의 임상결과는 만족스러우며, 삼각섬유연골 복합체 된 4 예에서도 추가 술식 없이 불안정성이 호전되는 것을 확인하였다. Purpose: To investigate short term clinical outcomes of the open surgical repair for triangular fibrocartilage complex (TFCC) foveal detachment. Methods: We retrospectively reviewed 8 patients (5 men, 3 women) who had been treated with open surgical repair of the TFCC type 1B injury, from 2005 to 2013 and who were followed up for more than one year after surgery. Mean age at time of surgery was 34 years. The right side was involved in 3 patients, and the left in 5. The clinical results of surgery were assessed with modified Mayo wrist score (MMWS), disabilities of the arm, shoulder and hand (DASH) score and pain-visual analogue scale (VAS). Physical examination was performed to evalu- ate the prescence of distal radioulnar instability, preoperatively and at the latest follow-up. Results: The mean follow up period were 36.5 months (range, 12-64 months). The mean MMWS improved from 52.5 (range, 25-85) preoperatively to 82.5 (range, 75-100) postoperatively (p=0.02). The mean DASH score improved from 39.6 (range, 65-13.5) preoperatively to 13.4 (range, 2.5-33.3) postoperatively (p=0.012). The preoperative mean pain-VAS was 4.6 (range, 6-3); these value was reduced to mean 2 (range, 0-3) at the latest follow-up (p=0.016). There were no patients remaining instability after the surgery, although four patients showed distal radioulnar joint (DRUJ) instability before surgery. Conclusion: The surgical outcomes of open repair for TFCC foveal detachment (type 1B) was contentable. Also, in cases of type 1B injury associated with DRUJ instability were managed sucessfully without additional procedure.

Neuromuscular Choristoma of the Sciatic Nerve- A Case Report -

김선영,권혁포,곽경덕,안기백 대한병리학회 2005 Journal of Pathology and Translational Medicine Vol.39 No.3

Neuromuscular choristoma is a rare benign tumor of the peripheral nerves. To the best of our knowledge, 21 cases have been reported to date. We describe here a 20-day-old female infant who presented with a buttock mass (4.5×4.1×3.2 cm on MRI) arising from the left sciatic nerve. Microscopically, it was characterized by an intimately disorganized mixture of nerve fibers and striated muscle fibers that were occasionally surrounded by the perineurium and separated by fibrous bands of varying thickness. In some areas, there appeared to be some cells in transitional forms between nerve fibers and muscle fibers, revealing variously positive expressions for S-100 protein in the muscular components. These findings are consistent with the hypothesis that neuroectodermal-derived Schwann cells can give rise to mature skeletal muscle. It appears that the fibrosis may be related to the degeneration of the neural components. The size of the mass on MRI has been unchanged during the 3-year follow-up period.

위암과 대장암이 병발한 가족성 대장 용종증 1예

김은주,유승익,백승운,함기백,홍성란,방수관,안용진,윤세옥,차중직,최규식 대한소화기학회 1992 대한소화기학회지 Vol.24 No.1

Familial adenomatious polyposis (FAP) includes early development of up to thousands of colorectal adenoma and of coloaic adenocarcinoma in all untreated cases. Moreover, a variety of extracolonic manifestation are seen. Several reports have demonstrated a high incidence of gastroduodenal polyps in FAP patient. Fundic gland polypois is found in half of polyposis patient, It is an non-geoplastic condition with hundreds of sessile polyps in the gastric fundus consisting of cystic dilated fundic glands without epithelial dyeplasia, In western countries, gastric adenoma and carcinoma are rare findings in FAP patients. Until present time, only 2 cases in western countries and 8 cases in Japanese series were reported in literature. So it is generally suggested that the development of gastric carcinoma is related not only to racial and environmental factors, but also to a genetic effect, this may be the first case-report in Korea. Here we report the case with familial adenomatous polyposis, presenting with gastric and colonic adenocarcinoma.

불안정성 단순 후외측 주관절 탈구에서 안정화 수술 직후 관찰되는 drop sign의 임상적 의의

류인혁(IH Rhyou),김경철,이지호,김승연,안기백 대한견주관절의학회 2014 대한견주관절학회 학술대회논문집 Vol.2014 No.3